I Made Niko Winaya
Program Studi Fisioterapi, Fakultas Kedokteran Universitas Udayana Denpasar

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Efektivitas Penambahan Mobilization with Movement dalam Menurunkan Nyeri dan Meningkatkan Kemampuan Fungsional Lutut pada Patellofemoral Pain Syndrome Winaya, I Made Niko; Nugraha, Made Hendra Satria; Adhitya, I Putu Gde Surya; Kinandana, Gede Parta
FISIO MU: Physiotherapy Evidences Vol 4, No.2 Juli 2023
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v4i2.5040

Abstract

Latar Belakang: Patellofemoral pain syndrome (PFPS) merupakan sumber umum nyeri lutut bagian depan yang menyumbang 25-40 persen dari semua masalah lutut yang dilaporkan di pusat kedokteran olahraga. Tujuan: Adapun tujuan penelitian ini adalah untuk mengetahui perbedaan efektivitas kombinasi MWM, UST, dan ET dibandingkan kombinasi UST dan ET dalam menurunkan nyeri dan meningkatkan kemampuan fungsional lutut pada PFPS. Metode: Penelitian ini merupakan penelitian kuasi eksperimental. Sebanyak (n=24) peserta dibagi ke dalam 2 kelompok, yaitu kelompok kontrol (n=12) diberikan intervensi UST dan ET, sedangkan kelompok perlakuan diberikan intervensi UST, ET, dan MWM. Intervensi diberikan sebanyak 12 sesi (3 kali seminggu selama 4 minggu). Alat ukur evaluasi yang dilakukan yaitu nyeri dengan Visual Analogue Scale dan kemampuan fungsional lutut dengan The Knee Injury and Osteoarthritis Outcome Score (KOOS) versi Indonesia. Hasil: Pemberian kombinasi UST, ET, dan MWM lebih signifikan menurunkan nyeri (p=0,000) dan meningkatkan kemampuan fungsional lutut (p=0,000) dibandingkan kombinasi UST dan ET saja. Kesimpulan: Pemberian kombinasi UST, ET, dan MWM lebih signifikan menurunkan nyeri dan meningkatkan kemampuan fungsional lutut pada individu dengan patellofemoral pain syndrome. Hasil penelitian ini diharapkan dapat diterapkan di ranah klinis dengan menambahkan pemberian MWM pada intervensi yang selama ini diberikan seperti kombinasi UST dan ET.
The relationship between the cross-sectional area of the vastus medialis oblique muscle and the anterior cruciate ligament return to sport index with the lateral step down test and the knee injury and osteoarthritis outcome score questionnaire in post–anterior cruciate ligament reconstruction patients Intara Putri, Pande Putu Prami; Winaya, I Made Niko
Kinetic and Physiotherapy Comprehensive Vol 4 No 2 (2025): Volume 4 No. 2 August 2025
Publisher : PT. Kesehatan Gerak Fungsi Tubuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62004/kpc.v4i2.69

Abstract

Background: Anterior cruciate ligament (ACL) reconstruction is a surgical procedure performed to repair a torn ACL. This procedure may lead to atrophy of the cross-sectional area (CSA) of the vastus medialis oblique (VMO), which could potentially impact the patient’s psychological condition. This study aimed to examine the relationship between the cross-sectional area of the VMO and ACL-RSI with the lateral step down test and KOOS questionnaire in post-ACL reconstruction patients. Methods: This study is a literature review that analyzes previous research articles as secondary data sources. The literature search was conducted using the PEO framework: Patient (P) = post-ACL reconstruction patients, exposure (E) = cross-sectional area of the vastus medialis oblique, outcome (O) = lateral step down test and KOOS. The keywords used were: “cross-sectional area of vastus medialis oblique,” “anterior cruciate ligament return to sport injury,” “lateral step down test,” “knee injury and osteoarthritis outcome score questionnaire,” and “anterior cruciate ligament reconstruction,” selected based on their relevance to the study topic. Results: Patients who had undergone ACL reconstruction showed no significant relationship between VMO CSA and KOOS scores (p > 0.05). However, there was a significant relationship between ACL-RSI scores and KOOS subscales of quality of life and sports and recreation (p < 0.05). No studies were found that directly examined the relationship between the lateral step down and either VMO CSA or ACL-RSI. Conclusion: There was a significant relationship between psychological readiness (ACL-RSI) and perceived knee function (KOOS). However, no significant association was found between muscle morphology (VMO CSA) and KOOS. Furthermore, no direct evidence currently links either VMO CSA or ACL-RSI to lateral step down test performance in patients following ACL reconstruction.
Pemeriksaan Lutut dan Sosialisasi Latihan Kekuatan dan Stabilitas Lutut untuk Mencegah Cedera ACL dan Osteoarthritis Adhitya, I Putu Gde Surya; Winaya, I Made Niko; Saraswati, Putu Ayu Sita; Thanaya, Sayu Aryantari Putri; Suputri, Ni Wayan Bintang Mida; Wijaya, Gede Wahyu Pratama; Kurniawati, Ida
Poltekita: Jurnal Pengabdian Masyarakat Vol. 4 No. 4 (2023): Oktober - Desember
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v4i4.3032

Abstract

Elderly individuals undergo various changes in their social, mental, physical, and body functional aspects. Workers in the agricultural sector, especially in areas like Takmung Village, frequently engage in activities that require prolonged use of the knees. This can increase the risk of knee osteoarthritis and injuries, especially during actions such as kneeling, squatting, or standing for extended periods while working. As a result, many farmers in Takmung Village experience discomfort and pain in their knees. Therefore, the community service activity aims to identify the characteristics of the elderly and enhance knowledge and understanding related to the prevention and management of ACL injuries and knee osteoarthritis. The community service activity was conducted from June to August 2023 at the Banjar Lepang Meeting Hall in Takmung Village, Klungkung Regency, and was attended by 54 productive elderly individuals. The activities began with planning, permit management, coordination meetings, training preparation, socialization implementation, health examinations, and pre-test and post-test evaluations. Out of the 54 elderly participants, 53 showed increased knowledge through pre-test and post-test assessments, while only one experienced a decrease. The impact of the socialization activities resulted in improved knowledge among the elderly regarding methods to prevent ACL injuries and knee osteoarthritis. They also gained awareness of suitable physical exercises to prevent and alleviate symptoms associated with ACL injuries and knee osteoarthritis conditions.
Effectiveness of Mulligan Natural Apophyseal Glides as an Adjunct to Conventional Physiotherapy in Recreational Surfers with Non-Specific Low Back Pain: A Randomized Study Putra, I Putu Yudi Pramana; M. Widnyana; Utama, A.A Eka Septian; Winaya, I Made Niko; Sutyawan, I Wayan Eka
Babali Nursing Research Vol. 7 No. 2 (2026): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.72554

Abstract

Background: Non-specific low back pain (NSLBP) commonly affects recreational surfers and leads to functional limitations; however, conventional physiotherapy often focuses on symptom relief, leaving a gap in addressing underlying biomechanical dysfunctions. Evidence on the added value of Mulligan’s Natural Apophyseal Glides (NAGs) in this population remains limited. Methods: This experimental study used a randomized pretest–posttest two-group design conducted at a physiotherapy clinic in Bali (2024). A total of 32 male surfers aged 30–40 years with NSLBP were selected using purposive sampling and allocated into two groups (n=16 each). The independent variables were conventional physiotherapy and conventional physiotherapy combined with Mulligan’s NAGs and ultrasound therapy, while the dependent variable was functional ability measured using the Modified Oswestry Disability Index (MODI). Interventions were administered three times per week for three months. Data were analysed using paired sample t-tests (within-group) and independent t-tests (between-group). Results: Both groups demonstrated improvement; however, the group receiving additional Mulligan’s NAGs showed greater reduction in MODI scores (31.13% ± 3.341) compared to the conventional group (29.09% ± 2.731), with a statistically significant difference (p = 0.002). Conclusion: The addition of Mulligan’s NAGs is more effective in improving functional outcomes in NSLBP. Clinically, nurses and rehabilitation providers should consider integrating biomechanical-based interventions alongside conventional therapy to optimize patient recovery.
Co-Authors A.A Arista Shinta Adhitya, I Putu Gde Surya Agung Wiwiek Indrayani Anak Agung Gede Angga Puspa Negara Anak Agung Gede Eka Septian Utama Anak Agung Sagung Dhriti Anggita Saraswati Arnaya Arga Khariyono Ari Wibawa Ayu Ulul Azmi Baiq Leny Suhartati CHOIRUL ANWAR Dedi Silakarma Desak Made Wahyu Ariningsih Dewa Ayu Chintya Antari Dewa Ayu Inten Primayanti Dewa Ayu Ketut Indriani Putri Dewa, Wira Dewi, Anak Ayu Nyoman Trisna Narta Dewi, Kadek Ayu Rosita Dewi, Ni Made Ovilianty Chandra Dhea Laila Qodriya Dwi Halim Kevin Gautama Endah Sulistyowardani Fitrotul Imaniyah Fydananda Nimas Pahlevi Galuh Aullia Pratiwi Gede Parta Kinandana Gede Parta Kinandana Helena Jelita Hera I Dewa Ayu Inten Dwi Primayanti I Dewa Ayu Inten Dwi Primayanti I Dewa Gede Alit Kamayoga I Gede Adi Susila Wesnawa I Gusti Agung Ayu Ari Candra Laksmi I Gusti Agung Ayu Narita Savitri I Gusti Ayu Artini I Gusti Ayu Surya Nirmala I Made Aditya Pramana Kasidi I Made Buda Kurniantara I Made Dhita Prianthara I Made Krisna Dinata I MADE MULIARTA . I Nyoman Adi Putra I P G. Adiatmika I Putu Adi Merta I Putu Adiartha Griadhi I Putu Gde Surya Adhitya I Putu Yudi Pramana Putra I Wayan Gede Sutadarma I Wayan Sugiritama Ida Ayu Dewi Wiryanthini Ida Kurniawati, Ida Indira Vidiari Juhanna Intara Putri, Pande Putu Prami Ketut Sutirama Cagi Putra Komang Ayu Trisnadewi Komang Trisna Bayu Suta L. Ade Sintia Devi Lidia Valentin Luh Gede Ayu Sri Nadi Wahyuni Luh Kadek Asri Junita Dewi Negara Luh Made Indah Sri Handari Adiputra Luh Made Indah Sri Handari Adiputra Luh Made Indah Sri Handari Adiputra Luh Made Nia Sari Devi Luh Putu Ratna Sundari Luh Putu Ratna Sundari M Widnyana M. Irfan Made Adhi Dharma Setiawan Made Aditya Yogi Guntara Made Bisma Wibawa Made Eva Nata Putri Made Hendra Satria Nugraha Made Widnyana Made Yoga Prabawa Made Yoga Prabawa Muhammad Agung Satrio Muhammad Irfan Muhammad Rival Verdian Ni Kadek Angel Puri Asih Ni Ketut Dewita Putri Ni Komang Ayu Juni Antari Ni Komang Juni Ayu Antari Ni Luh Ade Utari Ni Luh Nopi Andayani Ni Luh Nopi Andayani, Ni Luh Nopi Ni Luh Putu Gita Karunia Saraswati Ni Made Ameondari Ni Made Ari Pradnyawati Ni Made Dwi Dayanti Martini Ni Made Linawati Ni Nyoman Melani Karang Ni Nyoman Satria Mas Agusti Ni Nyoman Wahyuni Ni Putu Ayu Sasmita Sari Ni Putu Dita Kristinayanti Ni Putu Haryska Wulan Ni Wayan Tianing Nila Wahyuni Putra, I Putu Yudi Pramana Putu Adhika Satria Utama Wicaksana Aji Amertha Putu Ayu Sita Saraswati Putu Leli Juniari Putu Mulya Kharismawan Putu Rama Adhityadharma Putu Rina Indahsari Saraswati, Putu Ayu Sita Sayu Aryantari Putri Thanaya Suputri, Ni Wayan Bintang Mida Sutyawan, I Wayan Eka Thanaya, Sayu Aryantari Putri Tirza Nanda Kristanti Utama, A.A Eka Septian Valerie, Regina Wahyu Gunarto Wahyuni Novianti, I Gusti Ayu Sri Wijaya, Gede Wahyu Pratama